Healthcare Provider Details
I. General information
NPI: 1144071242
Provider Name (Legal Business Name): STERLING CAREGIVERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2024
Last Update Date: 03/28/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 PENN PLAZA MADISON SQUARE GARDEN 3RD FLOOR
NEW YORK NY
10001
US
IV. Provider business mailing address
183 JOHNSTON DR
WATCHUNG NJ
07069-4927
US
V. Phone/Fax
- Phone: 201-989-9777
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SETIAM
JOYCELINE
KABA
Title or Position: CEO
Credential:
Phone: 201-989-9777